Nasal Septum Correction
| SMR Surgery | Septoplasty |
| Radical Surgery | Conservative Surgery |
| Killions incision taken 5 mm from caudal border of septal catilage | Freer’s hemitransfixation incision taken at caudal border of septum |
| Not done below 17 years of age | Can be done at any age |
| Mucosal flaps elevated on both sides | Mucosal flaps elevated only on concave side of cartilage |
| Entire cartilage except 2-3 mm strip at caudal end may removed | Only deviated part of cartilage removed |
| Caudal dislocation cannot be corrected | Caudal dislocation can be corrected |
| Complications: – Septal perforation – Septal haematoma – Supratip deformity – Saddle nose deformity – CSF rhinorrhoea | 7) All complications are rare |
| Revision surgery very difficult | Revision surgery can be done |
| Cannot be combined with rhinoplasty | Can be combined with rhinoplasty |